OPTIMIZING OUTCOMES IN PEDIATRIC VESICOURETERIC REFLUX: IMPORTANCE OF EARLY DIAGNOSIS AND SURGICAL INTERVENTION

Main Article Content

D. Tamilselvan
A. E. Poornima
C. Sabarigirinathan
Dr S. Balasiddharth

Keywords

Vesico Ureteral Reflux, Uretero vesical junction, Child health, urethral valve

Abstract

This prospective study conducted at the Department of Pediatric Surgery, Institute of Child Health, over a 2½-year period aimed to investigate primary vesico ureteral reflux (VUR). The study enrolled pediatric patients presenting with symptomatic recurrent urinary tract infections (UTIs), predominantly under the age of 3 years, with a male predominance. Bilateral cases accounted for 62.9% of the total, with Grades III, IV, and V reflux representing 83.9% of the renal units studied. Cohen’s Reimplant was the primary surgical intervention, achieving a success rate of 95.6%. The study underscores the importance of early surgical intervention to minimize renal damage in patients with persistent VUR, emphasizing the need for timely referral and multidisciplinary management strategies. 

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